- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Payment Research Representative is responsible for monitoring and matching unpostables to the appropriate charge, initiating refunds or ... determining correct payment allocation. This role ensures accurate and timely resolution of patient financial concerns, including billing questions, payment posting,… more
- Intermountain Health (Nashville, TN)
- …Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. ... and resolves claims submission, disputes or complaints to resolution , as needed. Resolves billing/insurance issues and ensures compliance with departmental… more
- e CancerCare (Nashville, TN)
- …Verification of insurance benefits if missed by front office Able to research denied CPT code/dx codes with comparison to the LCD/NCD requirements. Effectively ... patient care. Consults with appeals department for disputed medical necessity denied claims . Works and Understands electronic claim interchange and the life cycle of… more